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Further evaluation (advanced imaging techniques, fibrosis assessment, liver biopsy) is considered depending on the patients trajectory (unresolved injury, diagnosis in question, need for disease staging) and should prompt hepatology referral.

So what happens when a medicine that reduces hunger and alters digestion overlaps with a month of prolonged daily fasting

[DOI] [PubMed] [Google Scholar] 545.Buteau J., El-Assaad W., Rhodes C.J., Rosenberg L., Joly E., Prentki M

It is not giving you energy in the way caffeine gives you energy

Increased heart rate has also been noted

If necessary, the dose may be increased to 1 mg or 2 mg weekly after at least 4 weeks at each dose level